- CAPPS (Austin, TX)
- …enforcement officer TCOLE certification Knowledge of TCOLE training requirements and healthcare fraud investigation training needs Knowledge of Microsoft Office ... the MFCU documentation and report writing system or a like system Knowledge of healthcare fraud statutes (state and federal) TO APPLY To apply for a job with the… more
- Novo Nordisk Inc. (Plainsboro, NJ)
- …ready to realize your potential? The Position Provide legal counsel to global healthcare company on relevant issues involving application of US law, regulations, and ... on interactions with health care providers, patients, and payors in compliance with fraud and abuse laws such as the US Anti-Kickback Statute and industry codes,… more
- Eisai, Inc (Nutley, NJ)
- At Eisai, satisfying unmet medical needs and increasing the benefits healthcare provides to patients, their families, and caregivers is Eisai's human health care ... in good standing of a state bar. Strong knowledge of FDA regulatory and fraud and abuse laws and/or pharmaceutical government price reporting laws. Ability to learn… more
- CAPPS (Austin, TX)
- …analyzing factual and legal issues and evidence as a part of litigating healthcare program fraud cases; reviewing documentation from client agencies and produced ... Knowledge of law, legal principles, and practices relevant to the Texas Healthcare Program Fraud Prevention Act and False Claims Act. Knowledge of Texas Rules of… more
- RB Professional Recruiting Services LLC (Red Bank, NJ)
- …including but not limited to HIPAA, Stark Law, Anti-Kickback Statute, and healthcare fraud laws. Strong communication, negotiation, and client management skills. ... Provide legal advice and counsel to corporate clients with a focus on healthcare , including healthcare providers, hospitals, private practices, and other … more
- Sunbit (Las Vegas, NV)
- Description JOB TITLE: Fraud Operations Specialist LOCATION: Las Vegas, Nevada (on-site) REPORTS TO: Fraud Supervisor The Company: Sunbit builds financial ... in 2 auto dealerships, optical practices, dentist offices, veterinary clinics, and specialty healthcare services. By introducing a flexible way to pay over time, we… more
- EVERSANA (Mason, OH)
- …from all backgrounds and swaths of life to help build the future of the healthcare and the life sciences industry. We believe our people make all the difference in ... the patients we serve. We are EVERSANA. Job Description THE POSITION: The Healthcare Call Center Specialist primarily responsible is to interface with Patients, HCPs… more
- Optum (San Juan, PR)
- …dream that definitely can come true. Already one of the worlds leading Healthcare companies, UnitedHealth Group is restlessly pursuing new ways to operate our ... symptoms, conditions and treatments; helping them to navigate the system, finance their healthcare needs and stay on track with their health goals. No other business… more
- Closinglock (Austin, TX)
- …real estate world's way of transferring information and funds to eliminate wire fraud and provide a secure, easy-to-use platform for title companies, law firms, and ... services to protect themselves and their clients from wire fraud . We act in the long-term best interests of...grow and thrive. From generous paid time off and healthcare coverage to career enrichment and development programs. These… more
- Public Health Trust of Dade Co (Miami, FL)
- …of the world's most skilled and highly regarded multidisciplinary team of healthcare professionals. Summary The Assistant Director of Regulatory Affairs is a member ... is committed to its role in preventing health care fraud and abuse and complying with applicable state and...Credentials Valid Florida RN license or other type of healthcare practitioner license is required. Jackson Health System is… more
- Contentful (Stamford, CT)
- …Options for the opportunity to share in the success of our company Comprehensive healthcare package covering 100% of monthly health premiums for employees and 85% of ... fraudulently allege to be from Contentful. These types of fraud can be carried out through copycat websites, fake...for the purchase of business equipment. If you suspect fraud , please report it to your local authorities, as… more
- UroPartners LLC (Mount Prospect, IL)
- …records are accurate and complete for all patients. Ensures compliance of healthcare regulations, medical laws and high ethical standards. Regularly adheres and ... for Parts C & D on General Compliance and Fraud , Waste & Abuse. Performs other position related duties...Ability to perform well in stressful situations. Knowledge in healthcare systems operations such as EMR, Practice Management Solutions.… more
- Marshall Investigative Group (Houston, TX)
- …highly trained investigators have conducted thousands of successful insurance fraud claim investigations by obtaining innumerable hours of claim-disputing ... a variety of complex and sensitive matters, that can focus on fraud , misconduct, and other suspicious activities. The Special Investigations Unit Investigator plays… more
- Advanced Urology Institute (Oxford, FL)
- …using computer programs and applications including Microsoft Office. Knowledge in healthcare systems operations and experience in navigating EMRs. Ability to answer ... & CMS guidelines for Parts C & D on General Compliance and Fraud , Waste & Abuse. Complies with HR confidentiality standards. Requirements EDUCATION REQUIREMENTS High… more
- Baxter International, Inc. (Philadelphia, PA)
- …For over 85 years, we have pioneered significant medical innovations that transform healthcare . Together, we create a place where we are happy, successful and ... Degree preferred 3+ years of sales experience (Medical device or healthcare sales preferred) Capital sales experience in a sophisticated decision-making environment… more
- PDI (Fort Worth, TX)
- …transmission and promote health and wellness. Encompassing 3 areas, our Healthcare , Sani Professional and Contract manufacturing divisions, we develop, manufacture ... mindset WORKING CONDITIONS Field -based role that will interface in healthcare settings requiring possible use of personal protective equipment. Significant travel… more
- Ria Money Transfer (Denver, CO)
- …on evolving regulations across multiple markets, particularly AML, KYC, and fraud prevention, and translate them into actionable, business-friendly solutions. Work ... cross-functional teams. Bonus Points Experience optimizing identity verification and fraud prevention processes. Knowledge of digital identity verification technologies… more
- Wanzek Construction (Dallas, TX)
- …company match & Employee Stock Purchase Plan (ESPP) Flexible spending account ( Healthcare & Dependent care) Health & Wellness Medical, Dental, and Vision insurance ... advise you to contact your local law enforcement agency and report fraud at https://reportfraud.ftc.gov/ MasTec Clean Energy & Infrastructure and our subsidiaries do… more
- Integrated Medical Professionals PLLC (Garden City, NY)
- …using computer programs and applications including Microsoft Office. Knowledge in healthcare systems operations and experience in navigating EMRs. Ability to answer ... & CMS guidelines for Parts C & D on General Compliance and Fraud , Waste & Abuse. Complies with HR confidentiality standards. Requirements EDUCATION REQUIREMENTS High… more
- Morgan Stephens (Columbus, OH)
- …the RN will be responsible for identifying and reporting suspected fraud , waste, and abuse. Key Responsibilities: Review and validate hospice documentation, ... care. Enter pseudo authorizations into the managed care system. Report suspected fraud , waste, and abuse as necessary. Ensure compliance with all policies and… more
